Provider Demographics
NPI:1609565696
Name:VILLANUEVA-SYLVIA, NAI'A (OTR/L)
Entity Type:Individual
Prefix:
First Name:NAI'A
Middle Name:
Last Name:VILLANUEVA-SYLVIA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3633 W MCLAREN DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72704-6084
Mailing Address - Country:US
Mailing Address - Phone:321-230-2908
Mailing Address - Fax:
Practice Address - Street 1:956 MATHIAS DR
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-0985
Practice Address - Country:US
Practice Address - Phone:479-419-9911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR3800225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics